JOSEPH EDWARD JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000175

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

EDWARD

Last Name

JOHNSON

Business Name

JOSEPH EDWARD JOHNSON

Original Issue Date

01/13/1980

Effective Date

01/13/2010

Expiration Date

03/01/2012

City

NEW ORLEANS

State

Zip

70117

County

LOUISIANA

Ever Disciplined

LastModifiedDate

04/11/2012